Organization
JINNY R. VICROY, ARNP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JINNY RAE VICROY ARNP (OWNER)
(859) 276-1946
Entity
Organization
Contact information
Practice address
2040 REGENCY RD, SUITE F, LEXINGTON, KY 40503-2331
(859) 276-1946
Mailing address
2040 REGENCY RD, SUITE F, LEXINGTON, KY 40503-2331
(859) 276-1946
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1041085
KY
Other
Enumeration date
10/12/2007
Last updated
10/12/2007
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